Organization
MEDIC EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L VERMEER D.O. (MEDICAL DIRECTOR)
(563) 210-0801
Entity
Organization
Contact information
Practice address
1204 E HIGH ST, DAVENPORT, IA 52803-2436
(563) 323-6806
(563) 323-1705
Mailing address
1204 E HIGH ST, DAVENPORT, IA 52803-2436
(563) 323-6806
(563) 323-1705
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
012670
IL
3416L0300X
Land Ambulance
Primary
2821000
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208256
—
IA
01
—
02431
WELLMARK BC/BS IA
IA
Enumeration date
02/22/2006
Last updated
01/28/2013
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